ClinicalTrials.gg
CompletedNCT04649177Updated Oct 27, 2023Results posted

Pilot Study to Investigate the Feasibility, Reliability and Efficacy of Utilizing OCT to Automate PROSE Fitting

An interventional study of Ocular surface optical coherence tomography in Keratoconus, Ocular Surface Disease and Pellucid Marginal Corneal Degeneration, sponsored by Boston Sight. Completed at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-27.

Sponsored by Boston Sight · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

EYEdeal Scanning Technology enables rapid measurement of corneal and scleral topography. By accurately measuring the ocular surface with this imaging technology, the current iterative fitting method required to fit PROSE (prosthetic replacement of the ocular surface ecosystem) devices could be replaced and/or strengthened with a more rapid, automated fitting sequence. This could considerably reduce the time needed per visit, the number of visits, and the number of devices needed to be manufactured to reach the endpoint. Additionally, the scanning technology may afford the opportunity to successfully fit some pathology that were previously treatment failures. The automated technology may as well reduce the intensive clinician training time needed to fit PROSE devices, therefore increasing the availability and access to patients.

The goal of this research is to evaluate the reliability and efficacy of this automated technology for fitting PROSE devices. Data from real-time measurement of the human eye ocular surface topography will be used to fabricate a prosthetic lens. The fit of the PROSE device will be evaluated, as well as the subjective comfort of the fit.

Read the detailed description

Inclusion and Exclusion Criteria

The participant will be eligible to participate if the following criteria apply:

  1. Written Informed Consent has been obtained prior to any study-related procedures
  2. Male or female, 18 years of age and older prior to the initial visit
  3. Established wearer of PROSE in the study eye with an optimized fit in the opinion of the clinician
  4. No medical need for a PROSE retreatment or replacement lens at the time of enrollment in the study eye, in the opinion of the clinician
  5. Initial PROSE fitting was initiated and completed at BostonSight, Needham
  6. Current PROSE device does not have channels or fenestrations
  7. Currently wears a PROSE device in the study eye primarily for an irregular ocular surface /irregular cornea (including but not limited to Keratoconus, Pellucid Marginal Degeneration, Ectasia, Post-Penetrating Keratoplasty, Corneal Scar, Trauma) AND/OR ocular surface disease
  8. Has the ability to NOT wear the current PROSE device in the study eye for 3 days prior to scan and 3 days prior to first fitting appointment in the opinion of the investigator and subject
  9. In the opinion of the investigator, the subject has the ability to follow study instructions
  10. In the opinion of the investigator, the subject has the ability to complete all study procedures and visits

The participant would NOT be eligible to participate if at least one of the following criteria is met:

  1. Is currently participating in any other type of eye-related clinical or research study
  2. Is pregnant or nursing as reported by the subject
  3. Has a condition or is in a situation which, in the investigator's opinion, may put the subject at significant risk, may confound study outcomes, or may significantly interfere with the subject's participation in the study
  4. Has had previous ocular surgery within the past 12 weeks
  5. Intolerance to PROSE wear
  6. Inability to maintain stable fixation and exposure for ocular surface imaging
  7. Corneal touch by the posterior surface of the device in current PROSE device
  8. Allergy to sodium fluorescein
  9. Patient is an employee of BostonSight
  10. Subject is currently incarcerated.
02

Conditions studied

  • Keratoconus
  • Ocular Surface Disease
  • Pellucid Marginal Corneal Degeneration
  • Ectasia
  • Corneal Trauma
  • Corneal Scar
  • Dry Eye Syndromes
  • Keratoconjunctivitis Sicca
  • Sjogren's Syndrome
03

In context

Keratoconus

313 studies on the registry are indexed under Keratoconus; 56 are open to participants now.

This study's enrollment of 11 is below the median of 40 across 205 interventional studies indexed under Keratoconus.

Browse Keratoconus studies →

Lead sponsor

Boston Sight is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Written has been obtained prior to any study-related procedures
  2. Male or female, 18 years of age and older prior to the initial visit
  3. Established wearer of PROSE in the study eye with an optimized fit in the opinion of the clinician
  4. No medical need for a PROSE retreatment or replacement lens at the time of enrollment in the study eye, in the opinion of the clinician
  5. Initial PROSE fitting was initiated and completed at BostonSight, Needham
  6. Current PROSE device does not have channels or fenestrations
  7. Currently wears a PROSE device in the study eye primarily for an irregular ocular surface /irregular cornea (including but not limited to Keratoconus, Pellucid Marginal Degeneration, Ectasia, Post-Penetrating Keratoplasty, Corneal Scar, Trauma) AND/OR ocular surface disease
  8. Has the ability to NOT wear the current PROSE device in the study eye for 3 days prior to scan and 3 days prior to first fitting appointment in the opinion of the investigator and subject
  9. In the opinion of the investigator, the subject has the ability to follow study instructions
  10. In the opinion of the investigator, the subject has the ability to complete all study procedures and visits

Exclusion criteria

Exclusion Criteria:

  1. Is currently participating in any other type of eye-related clinical or research study
  2. Is pregnant or nursing as reported by the subject
  3. Has a condition or is in a situation which, in the investigator's opinion, may put the subject at significant risk, may confound study outcomes, or may significantly interfere with the subject's participation in the study
  1. Has had previous ocular surgery within the past 12 weeks
  1. Intolerance to PROSE wear
  1. Inability to maintain stable fixation and exposure for ocular surface imaging
  1. Corneal touch by the posterior surface of the device in current PROSE device
  1. Allergy to sodium fluorescein
  1. Patient is an employee of BostonSight
  1. Subject is currently incarcerated. -
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
11 participants (actual)

Study arms

  • Other
    study group

    There is only one study group in this study. All subjects will receive the OCT scanning and PROSE lens fitting.

    Device: Ocular surface optical coherence tomography

Interventions

  • DeviceOcular surface optical coherence tomography

    EYEdeal Scanning technology enables rapid measurement of the corneal and scleral topography which provides data for an automated sequence to fit PROSE devices

06

What researchers measure

Primary outcomes

  1. Central Corneal Clearance

    Central corneal clearance as measured by OCT after 45 minutes of lens wear Outcome measure reports data only from the study eye.

    Time frame: 45 minutes post lens application

  2. Lens Decentration

    Lens decentration after 45 minutes of lens wear (x axis) Outcome measure reports data only from the study eye.

    Time frame: 45 minutes post lens application

  3. Lens Comfort After 45 Minutes of Lens Wear

    0 to 10 grading (0 = very comfortable to 10 = very uncomfortable) Outcome measure reports data only from the study eye.

    Time frame: 45 minutes post lens application

  4. Number of Participants With Lens Centration

    Each study eye (one eye from each participant) was evaluated to determine if the lens was "Centered" (yes) or "Decentered" (no) on the eye after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

    Time frame: 45 minutes post lens application

  5. Number of Participants With Aligned Scleral Landing Zone

    Each study eye (one eye from each participant) was evaluated to determine if the scleral landing zone was properly aligned on the eye (yes) or not properly aligned on the eye (no) after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

    Time frame: 45 minutes post lens application

Secondary outcomes

  1. Lens Rotation

    Lens rotation after 45 minutes of wear. Lens rotation was measured using an embedded program in the iTRACE system. The rotation data with image guided fitting with the OCT system was collected to compare with known experience with non-image guided fitting sets (the traditional fitting process), which typically rotate approximately 20-30 degrees on the eye. A lower number may indicate the manufactured lens more closely approximates the contours of the eye. Outcome measure reports data only from the study eye.

    Time frame: 45 minutes post lens application

  2. Number of Participants Achieving an Acceptable Fitting Lens

    Number of participants achieving an acceptable fitting lens after 45 minutes of lens wear. All participants are reported. Outcome measure reports data only from the study eye. Is the fit acceptable for dispensing to the patient (yes) or is the fit NOT acceptable for dispensing to patient (no) as evaluated 45 minutes post lens application.

    Time frame: 45 minutes post lens application

  3. Number of Participants With Lens Movement

    Number of patients with lens movement after 45 minutes of wear are reported. Lens movement (YES) means the lens is NOT appropriately fitting/settling on the eye. Lens movement (NO) means the lens is appropriately fitting/settling on eye. Outcome measure reports data only from the study eye.

    Time frame: 45 minutes

  4. Number of Participants With Adequate Lens Limbal Clearance

    Each study eye (one eye from each participant) was evaluated to determine if there was adequate (yes) lens limbal clearance or inadequate (no) lens limbal clearance after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

    Time frame: 45 minutes post lens application

07

Results

Posted Oct 27, 2023

Participant flow

Participant flow — Overall Study
MilestoneStudy Group
Started11
Completed10
Not completed1

Outcome measures

PrimaryCentral Corneal Clearance

Central corneal clearance as measured by OCT after 45 minutes of lens wear Outcome measure reports data only from the study eye.

Time frame:
45 minutes post lens application
Reported as:
Mean · microns
Central Corneal Clearance
micronsStudy Group
Central Corneal Clearance354.29 ± 62.68
PrimaryLens Decentration

Lens decentration after 45 minutes of lens wear (x axis) Outcome measure reports data only from the study eye.

Time frame:
45 minutes post lens application
Reported as:
Mean · microns
Lens Decentration
micronsStudy Group
Lens Decentration477.89 ± 190.05
PrimaryLens Comfort After 45 Minutes of Lens Wear

0 to 10 grading (0 = very comfortable to 10 = very uncomfortable) Outcome measure reports data only from the study eye.

Time frame:
45 minutes post lens application
Reported as:
Mean · units on a scale
Lens Comfort After 45 Minutes of Lens Wear
units on a scaleStudy Group
Lens Comfort After 45 Minutes of Lens Wear2.29 ± 3.45
PrimaryNumber of Participants With Lens Centration

Each study eye (one eye from each participant) was evaluated to determine if the lens was "Centered" (yes) or "Decentered" (no) on the eye after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

Time frame:
45 minutes post lens application
Reported as:
Count of participants · Participants
Number of Participants With Lens Centration
ParticipantsStudy Group
Number of Participants With Lens Centration5
PrimaryNumber of Participants With Aligned Scleral Landing Zone

Each study eye (one eye from each participant) was evaluated to determine if the scleral landing zone was properly aligned on the eye (yes) or not properly aligned on the eye (no) after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

Time frame:
45 minutes post lens application
Reported as:
Count of participants · Participants
Number of Participants With Aligned Scleral Landing Zone
ParticipantsStudy Group
Number of Participants With Aligned Scleral Landing Zone3
SecondaryLens Rotation

Lens rotation after 45 minutes of wear. Lens rotation was measured using an embedded program in the iTRACE system. The rotation data with image guided fitting with the OCT system was collected to compare with known experience with non-image guided fitting sets (the traditional fitting process), which typically rotate approximately 20-30 degrees on the eye. A lower number may indicate the manufactured lens more closely approximates the contours of the eye. Outcome measure reports data only from the study eye.

Time frame:
45 minutes post lens application
Reported as:
Mean · degrees
Lens Rotation
degreesStudy Group
Lens Rotation28.83 ± 24.05
SecondaryNumber of Participants Achieving an Acceptable Fitting Lens

Number of participants achieving an acceptable fitting lens after 45 minutes of lens wear. All participants are reported. Outcome measure reports data only from the study eye. Is the fit acceptable for dispensing to the patient (yes) or is the fit NOT acceptable for dispensing to patient (no) as evaluated 45 minutes post lens application.

Time frame:
45 minutes post lens application
Reported as:
Count of participants · Participants
Number of Participants Achieving an Acceptable Fitting Lens
ParticipantsStudy Group
Number of Participants Achieving an Acceptable Fitting Lens6
SecondaryNumber of Participants With Lens Movement

Number of patients with lens movement after 45 minutes of wear are reported. Lens movement (YES) means the lens is NOT appropriately fitting/settling on the eye. Lens movement (NO) means the lens is appropriately fitting/settling on eye. Outcome measure reports data only from the study eye.

Time frame:
45 minutes
Reported as:
Count of participants · Participants
Number of Participants With Lens Movement
ParticipantsStudy Group
Number of Participants With Lens Movement4
SecondaryNumber of Participants With Adequate Lens Limbal Clearance

Each study eye (one eye from each participant) was evaluated to determine if there was adequate (yes) lens limbal clearance or inadequate (no) lens limbal clearance after 45 minutes of wear. Outcome measure reports data only from the study eye. All participants were reported in this outcome measure.

Time frame:
45 minutes post lens application
Reported as:
Count of participants · Participants
Number of Participants With Adequate Lens Limbal Clearance
ParticipantsStudy Group
Number of Participants With Adequate Lens Limbal Clearance7

Adverse events

Collected over 1 month. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Study Group0/10 (0%)0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Study Group
Mean58 ± 11.84
Sex: Female, Male
Sex: Female, Male(Participants)Study Group
Female4
Male6
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Study Group
Region of Enrollment
Region of Enrollment(participants)Study Group
United States10
Keratoconus
Keratoconus(Participants)Study Group
Count of participants10
08

Study locations

1 site
  • BostonSight
    Needham, Massachusetts 02494, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2020 to primary completion in Mar 2022, 15 months.

Results were first posted in Oct 2023, 1 year 7 months after primary completion.

Of 59 non-industry interventional studies with no phase under Keratoconus, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 54. This study's 15 months is below that.

Counting every sponsor, half of 68 studies reached it within 34 months; a quarter within 12 and three quarters within 59.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 13, 2020
First posted
Dec 2, 2020
StartActual
Dec 15, 2020
Primary completionActual
Mar 23, 2022
CompletionActual
Mar 23, 2022
Results first posted
Oct 27, 2023
Last update
Oct 27, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04649177
Lead sponsor
Boston Sight
Collaborators
EYEdeal scanning, LTC
Responsible party
Daniel C Brocks (Chief Medical Officer, Boston Sight) — Principal investigator
First posted
Dec 2, 2020
Start date
Dec 15, 2020
Primary completion
Mar 23, 2022
Completion
Mar 23, 2022
Results posted
Oct 27, 2023
Last update
Oct 27, 2023

Study contacts

Daniel Brocks, MD
principal investigator · Boston Sight

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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